Jesse Nyamwaro, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5951001557 Issued in MI

Practice address

1303 S Linden Rd Ste D
Flint, MI 48532-3442

Phone

(810) 230-0177

NPI assigned

Jun 6, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Podiatry Group, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Flint, MI
  • NPI 1891725818
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1023859543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S LINDEN RD STE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323442",
            "telephone_number": "810-230-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAMWARO",
        "first_name": "JESSE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5951001557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nudell
• Khadija Numan
• Scott Nutzmann, LMT
• Nwamaka Nwaiwu, PMHNP-BC
• Nnamdi Nwoke, MD
• Hurksy Kemunto Nyangire, MD
• Chipo Nyasvisvo, MD
• Daeshawna Nye, PRC
• Rebecca Gail Nyhof
• Meaghan O'Berry, LMSW

• Podiatrist in Flint, MI
• Providers in Flint, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.